Organization
COMMONWEALTH SURGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY D WILSON (OFFICE MANAGER)
(270) 782-0434
Entity
Organization
Contact information
Practice address
1725 ASHLEY CIR STE 211, BOWLING GREEN, KY 42104-5820
(270) 782-0434
(270) 782-0564
Mailing address
1945 SCOTTSVILLE RD, B2 PMB137, BOWLING GREEN, KY 42104-3376
(270) 782-0434
(270) 782-0564
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
KY
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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